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Individual
MR. MICHAEL DEE WELLS
Active
Individual
MR. MICHAEL DEE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACB.0007943
CO
1041C0700X
Clinical Social Worker
Primary
2133
CO
Other
Enumeration date
04/01/2011
Last updated
01/26/2016
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